Gold Quartz Inn Retirement Home

General Food Service Requirements: All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement was not met as evidenced by LPA observations of dented canned goods retained in canned goods supply and emergency food supply which poses a potential health, safety and personal rights risk to residents in care.

87468.2 Additional Personal Rights of Residents...(a)In additionto...Section 87468.1... residents... shall have all of the following personal rights: (4)To care, supervision, and services that meet their individual needs...This requirement was not met as evidenced by: Based on records review and interviews, the licensee neglected to ensure R1's needs were met by staff, which resulted in R1 falling to the floor while in a moving vehicle. This poses a potential health and personal rights risk to residents in care.

87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)... (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by: Based on records review and interviews, R1's POA/RP records request has not been completed, therefore, the licensee and administrator did not conform to applicable laws, rules, and regulations. This poses a potential health, safety, and personal rights risk to residents in care.

87468.2 Additional Personal Rights of Residents (a)In addition to.. Section 87468.1,.. residents...shall have all of the following: (4)To care, supervision, and services that meet their individual needs ...delivered by staff that are sufficient in numbers, qualifications, and competency... This requirement was not met as evidenced by: Based on records review and interviews, the licensee neglected to ensure R1's needs were met by staff, which resulted in R1 sustaining injuries. This poses a potential health and personal rights risk to residents in care.

87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 Based on records review and interviews, the licensee did not ensure 3 out of 3 staff files reviews received required annual training. This poses a potential health and safety risk to residents in care.

87707 Training Requirements...(a) Licensees.. shall...meet the following training requirements: (2) Direct care staff shall complete at least eight hours of in-service training...within 12 months of working in the facility and in each succeeding 12-month period... This requirement was not met as evidenced by: Based on observations, records review, and interviews, the licensee did not ensure staff received updated training on how to properly secured residents with a wheelchair in the facility van. This resulted in a resident getting injured during transport, which poses an immediate health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in room 113. This room was being utilized by construction and tool items along with floor staff showering residents in the walk-in bathroom, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interviews, the licensee did not ensure activities were made available to residents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Plan of OperationTransportation arrangements for persons served who do not have independent arrangements. This requirement is not met as evidenced by:Observation Staff is unable to utilize the ramp to assist residents onto and off the van while using a wheelchairBased on interviews, the licensee did not ensure van is properly equipped for the safety of staff and residents This posed an immediate health and safety risk to residents in care.

Personnel Requirements - GeneralFacility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Interviews staff is insufficient in numbers to provide care and supervisionBased on interviews, the licensee did not ensure sufficient staffing who are used to asssist independent apartments next door This posed an immediate health and safety risk to residents in care.

Managed Incontinence In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:Ensuring that residents who can benefit from scheduled toileting are assisted or reminded to go to the bathroom at regular intervals rather than being diapered.Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night.Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: Interviews that staff is not assisting residents with incontinence timely Based on interviews, the licensee did not ensure staff is assisting residents with incontinence This posed an immediate health and safety risk to residents in care.

87465 Incidental Medical and Dental Care (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication.. This requirement was not met as evidenced by: Based on records review and interview, 1 resident medication records were missing from the facility,which poses a potential health and safety risk to persons in care.

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place...This requirement was not met as evidenced by: Based on record review and interviews, the facility did not ensure medication for resident 1 and resident 2 were kept safe and locked away, which caused the medications to come up missing. This poses a potential health and safety risk to residents in care.